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Home My WebLink AboutPermit Mechanical 2001-02-14SPRINGFIELD Job# 01-00128-01 RESIDENTIAL PERMIT City Of Springfield Gommunity Services Division Building Safety Page 1 of 2 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 4053 Virginia St Spr AssessorsMap#: 17023144 Lot: Block: Addition: Job Number: 01-00128-01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot#: 06800 Subdivision:I crrY oF SPRTNGFTELD, OREGON Owner: Robin Baldwin Address: 4053 Virginia St Scope Of Work: Mechanical heat pump and air handler Phone Number: City/State/Zip: Alteration 541-746-9817 Springfield, OR 97478 Value: $0 Contractor Type Mechanical Contr Contractor Comfort Flow Heating Co 1951 Don St Ste D, Springfield, OR 97477-1993 Registration # 460 Expiration Date 612712001 Phone 541-726-0100 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use - Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group Heat Source: Sq. Footage: To request an inspection callthe 24hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following working day. Required lnspections Mechanical Final Mechanical -When all mechanicalwork is complete. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? (Sq. Feet) Main Accessory: # Of Stories: Height (feet): Current Units: Proposed Units Census Gode: Does not apply Total: Fee Paid On Receipt# Value/Quantity Fee Amount Mechanical [tlinimu m tr,4echanical Permit 02t1412001 4448 $9.00 Job# 01-00128-01 Page 2 ol 2 Fee Paid On Receipt# Value/Quantity Fee Amount Mechanica! Administrative Fee - Mechanical 3hp - - 100,000 BTU Mechanical lssuance State Surcharge - Mechanical Total Mechanica! 02t14t2001 02t14t2001 02t14t2001 02t14t2001 4448 4448 4448 4448 1 $.45 $6.00 $10.00 $1.05 $26.50 Grand Total By signature, I state and agree that I have carefully examined the completed application and do hereby certify that all information herein is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon. I further state that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time and that the project address is readable from the street. Signature Date $26.s0 SP .GFIELD . The lollowrng pro,ect as submittsd has the tollowinll zoning and does not require specific land use LDn- 7--/o-o approval Zoning Date t 1.LOCATION OF ALLATION .1121 O,-, ELECTRICAL PERHIT APPLICATI Ci ty Job Number Ol-ootzg ]ol 3. COHPI,ETE FEE SCffiDI'LE BELOIJ New Residential-Single or MuIti-FamiIY Per dvelling unit' Service Included:Items Cost 1000 sq.ft. or less Each addi.tional 500 sq. ft or Portion thereo f Each Manuf'd Home or Modular Dvelling Service or Feeder $ 8s.00 s 1s.00 $ 40.00 Services or Feeders Installation, Alterations Refocat ion: ON225 FIFTE STREET spRrNGFrELD, ORXGO$ug?47ep sisnature INSPECTION REQIIEST: 726-3769 OFFICE: 726-3759 (!q A I^EGALl1o z DESCRIPTION3tvq o6800 $130. 00 $300.00 $ 40.00 Sum aSove JOB Electrical Contractor Permits are non-transferable and expire if vork is not started uithin 180 days of ii"u"nce or if vork is suspended for L80 days. 2. CONTRACTOR INSTALI,.ATION ONLY B Address Ci ty o. vnon" Lf,6'C 2 3C 200 amps or less ZOi ,*^p" to 400 amPs -401 amps to 600 amPs .- 601 amps to 1000 amPs- Over 1000 amPs/voIts _- Reconnect 0n1Y One Circui t Each Additional SUBTOTAL OF ABOVE 7% State Surcharge 3Z Administrative Fee TOTAL Sso $oo $100 00 00 00 Supervisor License Num ber Exp iration Date / 2 Constr Contr . n,mp.t 3 7?75 TemporarY Services or Feeders inil"ffriiot, Alteration or Relocation Expiration Date Signature of Supervising Electric 200 amps''or lessioi .rb" to 4oo amps _-_- Over 40L to 600 amps - Over 600 amps or 1000 volts L Circuit or vith Service or Feeder Permi t / $ -Each installation Pump or irrigation Sign/Outline Light ing_- Limited EnergY/Res --Limited EnergY/Comm ran C D $ 40.00 $ ss.00 s 80.00 see ItBt' 6t*t T a)t ) Branch Circuits Nev, Alteration or Extension Per PanelOvners Address Ci ty Name )Cr-,/$ 35.00 Phone ?r'69 7 OVNER INSTALI,ATION The installation is being made on l.op"tty I ovn r,'hich is not intended for sa1e, lease or rent' 0rners Signature: 2.00 E Miscellaneous (Service/feeder not included) $ s $ $ 0040 40. 20. 36. 5 DATE: RECEIVED B c>ot t-l -7 :r u -JLrt I